When doctors have a simulated operating room

The old lady's indifferent expression surprised Zhang Yi for a moment.

This old lady... is quite open-minded?

Of course, Zhang Yi said in a roundabout way:

"Well... we can't be sure whether it is cancer yet, we have to check you.

But the problem now is that your family is not here, can you pay for it yourself?"

The implication is to ask the old lady if she has any money on her.

The most effective tests for confirming lung cancer are PET-CT and MRI, as well as cell biopsy.

But these tests are not cheap.

After hearing this, the old lady nodded slowly, and started to take out her purse again while coughing.

This time she emptied her purse at once.

Zhang Yi helped her count, and the total amount of scattered money added up to 632.5 yuan.

"This..." Several medical staff looked at each other.

This is not easy to deal with.

More than 600 yuan, not to mention the PET and cell biopsy that cost several thousand yuan.

Even the cost of monitoring and oxygen in the emergency department is probably high.

It should only be enough for an MRI and blood routine.

And what about the subsequent treatment costs after the examination?

So the family members still have to come.

After lung cancer is diagnosed, whether to treat or not, or how to treat it, the family members should come to discuss.

"Old lady, you only have more than 600 yuan, the money is not enough, so you still have to ask your family members to come."

"Ahem... Then please call again, that is their number... Ahem."

"Okay."

Although the call could not be connected, he could only continue to call for now.

However, Zhang Yi still asked the nurse to help pay the 600 yuan.

It is better to do one thing first than to do nothing and wait here.

In fact, there is a green channel in the emergency room.

It is specially prepared for emergency patients.

For patients who are sent to the hospital without family members, have not paid fees, and even have no personal information, if the condition is very urgent, such as heavy bleeding, myocardial infarction, and cerebral infarction, the hospital can open a green channel.

That is, in the absence of family members, the hospital will first perform rescue, focusing on saving people.

Don't rush to pay the series of rescue costs incurred. After the rescue, the family members will pay them.

But the old lady's situation is not a critical situation, so the hospital cannot open a green channel for her without paying.

Zhang Yi is actually not very sure about the middle and late stages of lung cancer.

Surgical resection does not necessarily guarantee that cancer cells will not metastasize again.

Moreover, in the current situation of the old lady, removing only one lobe of lung tissue cannot solve the problem at all.

If it is early lung cancer, then removing part of the lung tissue alone may have the possibility of radical cure.

But in Zhang Yi's opinion, the old lady's cancer has already spread to the extrapulmonary lymph nodes.

This means that the whole lung may be...

For this type of mid- to late-stage lung cancer, it is no longer effective to simply remove the lung lobe.

In fact, many peripheral lymph nodes, thoracic diaphragm, heart periphery, etc., must be removed.

Alas!

Thinking about it, Zhang Yi can only try his best to treat her.

If the treatment is good, it will be a good deed. If it is not... Zhang Yi can only say sorry.

An hour later.

The old lady went to line up for the MRI, and the family member's phone call just got through.

The voice on the other end of the phone was a middle-aged man, and the tone was a little impatient.

"Who are you? You keep calling me? Be careful or I will sue you for harassment!"

Zhang Yi rolled his eyes when he heard this tone.

Who would harass a grown man like you for no reason!

After a sigh of relief, Zhang Yi said calmly:

"Hello, I am a doctor from Tianhe People's Hospital. Your mother Tian Xiaomei is in our hospital now. Her current condition is not very optimistic. I hope your family can come to the hospital as soon as possible."

The middle-aged man on the other end of the phone was stunned.

"What? You are a doctor from Tianhe Hospital? But why is my mother in your hospital? Isn't she at home?"

"It's like this. Your mother was sent here by the ambulance of your township health center. The doctor of the health center thought your mother's condition was serious, so she was sent to our hospital.

When do you think you can come? We still have some tests to do here. Your mother only has more than 600 yuan on her.

It is not enough for the follow-up tests and hospitalization expenses."

After listening to Zhang Yi's words, the middle-aged man on the other end of the phone was silent for a long time before hesitating and saying:

"Is that so? Then... then what is my mother?

Sick? How much will the total cost for the examination and hospitalization? "

"Your mother is currently coughing, coughing up blood, hypoxia, dyspnea, and has a little fever. Tuberculosis, inflammation, lung cancer and cardiovascular diseases cannot be ruled out.

Of course, the most likely one is lung cancer. "

"What? ! Lung... lung cancer? How much will it cost? ? "

Zhang Yi heard a very quiet complaint on the phone.

After frowning, he continued to ask:

"So I want to ask when your family members can come here? It is better to complete Tian Xiaomei's follow-up examination and treatment as soon as possible. She is now coughing almost with blood. "

"Well... let's do this. I will try to come today. I have to discuss it with my wife and my sister. "

"What time do you come today? Hello? Hello? Hello? ! "

Beep, beep, beep...

Damn, he hung up before he could finish his sentence??

This family member is really annoying.

The doctor suspected it was cancer, but he was still hesitating and didn't want to come to the hospital?

"What kind of person is this?"

Seeing Zhang Yi frowning and walking into the emergency room, Chen Fang hurriedly asked:

"What's wrong? What did the family member say? When will you come?"

"This family member is quite confusing. He didn't say a specific time, just said he would come today."

"Good guy, these people are really..." Chen Fang looked at the old lady on the bed and couldn't help but worry:

"What about this old lady? Just lie in our emergency room? She doesn't have enough money, can she continue to use ECG and oxygen?"

Zhang Yi also looked over there along Chen Fang's line of sight.

Finally, Zhang Yi shook his head helplessly and said:

"Go ahead, we can't let the old lady get into trouble in the hospital. Difficulty breathing is uncomfortable. If you don't use oxygen, the family members will find the hospital to make trouble when something happens.

And I feel that her family members should come, so let's wait and let them pay for the expenses. "

"Okay, I'll listen to you."

Zhang Yi said so, so Chen Fang had to do it.

Waiting and waiting, until the evening after get off work, no family members came.

During this period, Zhang Yi also received a second round of invitations from Jin Zhenglun.

Because Zhang Yi did not reply to his message, Jin Zhenglun sent a long and heartfelt message.

The words expressed the same meaning, that is, he wanted to invite Zhang Yi to Union Hospital.

But Zhang Yi still played Tai Chi: "Okay, President Jin, I will think about it carefully. "

This made Jin Zhenglun feel very uncomfortable.

As the saying goes: 'What you can't get will always make you restless'.

So the leaders of these big hospitals will feel uncomfortable if they can't find Zhang Yi!

Before leaving get off work, Zhang Yi reminded the doctor on night duty again:

"If the family members of the old lady come, you must tell them that the old lady is in a very bad condition and highly suspected of lung cancer. You must check it thoroughly."